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Mississippi rates for HCPCS Q4113

Graftjacket Xpress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.95 / $735.95 / $1,077.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.00 / $762.88 / $1,077.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.94 / $498.94 / $548.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.00 / $910.00 / $910.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,897.63 / $1,997.50 / $2,596.75